go back

Utah rates for HCPCS 64600

Dstrj Trigeminal Nrv Supraorb Infraorb Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.45 / $2,910.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.57 / $466.27 / $1,187.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.32 / $463.92 / $773.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.82 / $348.88 / $457.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.81 / $1,728.22 / $2,518.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.76 / $676.54 / $1,007.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,649.00 / $2,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.77 / $458.64 / $709.14